Comparison of clinical and surgical-pathologic staging in patients with endometrial carcinoma.
In that accurate staging is essential to proper management of patients with endometrium cancer, preoperative clinical staging was compared with surgical-pathological staging in 160 patients with endometrium cancer. One hundred fifty-two patients had clinical stage I, and eight had clinical stage II disease. Overall, the clinical stage was changed in 26.9% of patients. The incidence of inaccurate staging was 25% for clinical stage I and 62.5% for clinical stage II disease. Endocervical curettage was found to have a 12.5% false-positive rate and an 8.6% false-negative rate. The extent of malignant disease for endometrium cancer (clinical stages I-II) cannot be adequately and accurately assessed with clinical staging because there is a high rate of discordance between clinical and surgical-pathologic staging.
Ayhan
A
A
Department of Obstetrics and Gynecology, University of Hacettepe, Faculty of Medicine, Ankara, Turkey.
Yarali
H
H
Urman
B
B
Yüce
K
K
Günalp
S
S
Ayhan
A
A
Havlioğlu
S
S
D002983:Clinical Competence; D005260:Female; D006801:Humans; D009367:Neoplasm Staging / Q000379:methods*; D011237:Predictive Value of Tests; D014594:Uterine Neoplasms / Q000473:pathology* / Q000601:surgery